Davis, Brandy Lee
Davis, Brandy Lee is an individual health care provider with primary practice located at 115 Rottingham Ct Ste A , Edwardsville IL 62025-3677. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Davis, Brandy Lee can be contacted via phone (217) 525-8332.Contact Information
Primary practice address
115 Rottingham Ct Ste A
Edwardsville IL 62025-3677
Phone: (217) 525-8332
Fax: (618) 692-5204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Illinois | |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-18-33462 | Illinois |
Profile Details
| NPI number | 1487149266 |
|---|---|
| LBN Legal business name | Davis, Brandy Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2018 |
| Last updated | Sep 6th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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